Job Summary: 

• Maintain client confidentiality and security of health information in compliance with HIPAA and other pertinent Corporate Compliance regulations
• Collaborate with compliance and billing teams to develop ongoing methods for supporting staff to remain in compliance with OMH, Medicaid, and Medicare regulations
• Receive and coordinate all referrals for new clients, including hospital discharges
• Input new client information into the Electronic Health Record
• Work closely with the Clinic Directors and Supervisors to ensure timely access to care for clients
• Facilitate responses to requests for medical record information
• Issue reports on Compliance audit on a scheduled basis
• Facilitate organization program initiatives and services to the community
• Responds supportively to changes in programs and policies and takes a broad view of one’s position
• Process patient records from a daily schedule and prepare the EMS with appropriate correspondence and test results
• Prep EMR for clinics, hospitals, and TEC runs
• Maintain and evaluate EMR for scheduled appointments
• Scans and indexes procedures, labs, x-rays, consults, progress notes, and various correspondence in the proper place in EMR
• Release and obtain patient medical records in a timely and efficient manner for physicians, nurses, and patients

Skills on Resume: 

• Data Entry (Hard Skills)
• Record Management (Hard Skills)
• Compliance Reporting (Hard Skills)
• Medical Records (Hard Skills)
• Confidential Handling (Soft Skills)
• Team Collaboration (Soft Skills)
• Schedule Coordination (Soft Skills)
• Client Communication (Soft Skills)

Job Summary: 

• Reviews and completes requests for medical records to include a presence in treatment letters, and completion of treatment letters
• Ensures all requests have proper releases of information forms signed and completed before any communication or correspondence
• Assist patient, face to face, or via phone/email, in the completion and filing of FMLA/Disability paperwork
• Document communications in the contact log of the Patient's medical record and scan any corresponding paperwork
• Works with physicians to complete any required signatures for medical records
• Attend department meetings and training
• Supports and promotes an environment of Customer Service
• Review records for completeness, accuracy, and compliance with regulations
• Release information to persons or agencies according to Internal, state, federal and HIPAA regulations promptly
• Retrieve patient medical records for physicians, nurses, technicians, or other medical personnel
• Protect the security of the medical records to ensure that confidentiality is maintained and completed requests are documented appropriately in the Electronic Health Record
• Evaluate information to determine compliance with standards, laws and regulations
• Manage the department or supervise MRS, directing or controlling the activities of personnel in the medical records department
• Communicate with external partners, represent the organization to customers, the public, government, and other external sources

Skills on Resume: 

• Record Review (Hard Skills)
• Request Processing (Hard Skills)
• Form Assistance (Soft Skills)
• Physician Coordination (Soft Skills)
• Regulation Compliance (Hard Skills)
• Customer Service (Soft Skills)
• Confidential Handling (Soft Skills)
• External Communication (Soft Skills)

Job Summary: 

• Contact physicians’ offices and/or other healthcare providers to obtain patients’ medical records for use in submitting claims to insurance providers
• Records and maintains complete documentation of activities performed in account notes and other databases
• Meets all deliverables and goals set by the department
• Meets all regulatory agency requirements as they pertain to job function
• Maintains accurate and complete documentation in client and patient records to improve the customer service process continuously and meet regulatory requirements
• Builds strong customer relationships through client focus, professional demeanor, reliability and responsiveness
• Works to research and resolve problems promptly while maintaining productivity standards and performance guarantees 
• Assists in performing other related duties and special projects
• Reviews Clinical History Required for Billing Discrepancy, identifying what is requested, Medical Records or Letter of Medical Necessity
• Reaches out to Medical Facilities for the current status of medical records and the letter of medical necessity previously requested
• Reviews medical records received and attaches them to the correct case by confirming the name and date of birth for each patient
• Follow statutory guidelines and other regulations 
• Independently evaluate and respond appropriately to requests from individuals, families, legal representatives, insurance companies, healthcare providers or government agencies for the release of patient health information
• Advance medical directives and legal documents
• Review, assess for compliance, approve/accept or reject and scan applicable documents into the electronic health record
• Work with clinicians, social workers, and patients/families, etc., to ensure the most current, complete and appropriately documented patient directives and other miscellaneous legal documents and filed appropriately

Skills on Resume: 

• Medical Retrieval (Hard Skills)
• Case Documentation (Hard Skills)
• Billing Support (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Problem Solving (Soft Skills)
• Client Relations (Soft Skills)
• Record Verification (Hard Skills)
• Legal Coordination (Soft Skills)

Job Summary: 

• Maintains productivity and quality standards according to the department guidelines and submits them weekly
• Displays a commitment to the value of teamwork by building strong relationships with patients/families, co-workers and physicians, and by being cooperative in the performance of duties to promote a unified and spirited workplace
• Displays an understanding and awareness of, and performs all duties by the Department's and Hospital's Mission and Vision statements
• Participates as a team member in identifying and solving problems as well as assisting with training and orienting new staff
• Provides coverage to promote teamwork for critical functions to meet department turnaround time and deadlines, and to fill temporary staffing vacancies
• Compliance rounds storage areas and offices of the facility
• Oversees the organization and maintains the facility's medical records system in compliance with company, state, and federal regulations
• Assist with the development of record policies and procedures
• Maintain a documented, organized system that is readily accessible to others
• Supports regional team visits as well as completion of mock surveys and regular compliance visits to maintain the center's medical records department
• Medical record paper chart pick-up throughout the hospital, chart reconciliation, and chart prepping
• Perform analysis of loose sheets, working the patient photo process in OneChart to correct Driver's Licenses that are scanned (into OneChart) incorrectly
• Assist with the weekly No Privilege Process by verifying deficiencies assigned to physicians who are receiving warning and suspension notifications
• Make phone calls to those physicians who are receiving warning and suspension notifications
• Check the St. Vincent's East No Privilege List daily and remove any physicians who have completed their records
• Run the daily Physician Deficiency Detail report for each hospital and save those reports to the HIM Shared Drive

Skills on Resume: 

• Quality Tracking (Hard Skills)
• Team Collaboration (Soft Skills)
• Policy Support (Soft Skills)
• Regulation Oversight (Hard Skills)
• Record Maintenance (Hard Skills)
• Physician Coordination (Soft Skills)
• Compliance Assistance (Hard Skills)
• Problem Resolution (Soft Skills)

Job Summary: 

• Contribute to successful patient care by providing a complete and administratively correct medical record for every patient encounter
• Construct new medical records and retrieve records from other departments or the archive
• Perform patient record scanning and subsequent indexing and importing into the Electronic Medical Record
• Maintain the integrity of the medical record by filing all patient care materials in the correct location
• Promote the reputation and dependability of the Health Information department by responding to all requests promptly, courteously, and by policy
• Respond to patient and legal correspondence, while demonstrating superior customer service skills and a strict adherence to the applicable laws and policies
• Assist customers with understanding the importance of legal compliance to protect their privacy
• Uphold the professional appearance of all medical records by repairing records and following policies regarding separation into volumes
• Facilitate proper record keeping by labeling charts appropriately, using out-guides consistently, updating the computer system, maintaining all departmental logs and reports, and purging records according to policy
• Perform frequent administrative audits to monitor records for appropriate identification, chart appearance, proper filing, and compliance with policy
• Perform the responsibilities of the Health Information Assistant
• Assists Research Monitors and Field Auditors with access to Medical Records
• Release of Information/Advance Medical Directives/ External Access Support
• Maintain accurate and complete ROI databases to account for all disclosures
• Schedule, coordinate and work with external customers regarding access to the paper and electronic health record, including research, insurance, and other quality audits and general viewings, as legally authorized
• Ensure privacy and security of all protected health information accessed and released are maintained at all times
• Provide telephone support from both internal and external callers (e.g., staff, doctors, patients, insurance companies, attorneys, etc.)

Skills on Resume: 

• Record Integrity (Hard Skills)
• Chart Preparation (Hard Skills)
• Scanning Accuracy (Hard Skills)
• Customer Service (Soft Skills)
• Legal Compliance (Hard Skills)
• Privacy Support (Soft Skills)
• Audit Assistance (Hard Skills)
• Communication Skills (Soft Skills)

Job Summary: 

• Compile, process, archive, and maintain patient health records in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements
• Protects the security of medical records to ensure that confidentiality is maintained in paper and electronic formats
• Release information to persons or agencies according to regulations
• Process, store, and retrieve admission and discharge electronic health information according to policies
• Participate in order distribution, tracking, assessing, and archiving functions 
• Assist in the resolution or clarification of missing or unclear documentation by consulting with doctors, clinicians, or others, and by participating in team meetings
• Process and prepare business or government forms 
• Assist in training other staff in medical record and documentation standards
• Assists in ensuring correct key attributes (i.e., start of care dates, certification dates, recertification date spans, face-to-face encounter dates) and worklists
• Responsible for the completion of audits and reporting related to health information and billing
• Review and audit records for completeness, accuracy, and compliance with regulations
• Assure Agency compliance with all federal and state laws, as well as adhering to Corporate Compliance policy in the prevention of fraud and abuse

Skills on Resume: 

• Record Management (Hard Skills)
• Data Confidentiality (Hard Skills)
• Information Release (Hard Skills)
• Admission Processing (Hard Skills)
• Document Review (Soft Skills)
• Form Preparation (Hard Skills)
• Staff Training (Soft Skills)
• Audit Reporting (Hard Skills)